GRAND FU KWOK WONG MD
NPI 1730175340
Family Medicine in Edmond, OK
About Grand Fu Kwok Wong Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRAND FU KWOK WONG MD (NPI 1730175340) is an individual family medicine provider in Edmond, Oklahoma, licensed in Missouri (2004020460) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Grand Fu Kwok Wong Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Grand Wong reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Edmond, OK 73013
- Reassigned Medicare billing, Oklahoma enrollment
- 171 clinicians in this Medicare group
Oklahoma City, OK 73134
- Reassigned Medicare billing, Oklahoma enrollment
- 1,058 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 73013 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Grand Wong's NPI number?
The NPI number for Grand Wong is 1730175340. It was assigned to this individual provider in the NPPES registry on September 20, 2005.
Where is Grand Wong located?
Grand Wong practices at 1700 Renaissance Blvd, Edmond, OK 73013. The listed phone number is (405) 844-4300.
What is Grand Wong's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Grand Wong enrolled in Medicare?
Yes. Grand Wong is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Grand Wong's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Grand Wong reassigns Medicare benefits to 2 organizations: Medical Resource Management, LLC (Edmond, OK) and Integris Ambulatory Care Corporation (Oklahoma City, OK). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Grand Wong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Grand Wong was last updated on July 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Grand Fu Kwok Wong, MD · NPI 1730175340
Family Medicine physician in Edmond, Oklahoma. Individual provider, active in the CMS NPPES registry since September 20, 2005.
## Identity
- **NPI:** 1730175340 (Entity type: Individual)
- **Enumerated:** September 20, 2005
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 2004020460 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1700 RENAISSANCE BLVD, Edmond, OK 73013-3022
- **Phone:** (405) 844-4300 · **Fax:** (405) 844-4333
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Medical Resource Management, LLC (NPI 1104056365, Edmond, OK); Integris Ambulatory Care Corporation (NPI 1750333936, Oklahoma City, OK) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 14, 2017
- **Other identifiers:** Medicare UPIN OTH000 (IL)
---
Source: [NPI Profile](https://npiprofile.com/npi/1730175340) · Data from the CMS NPPES public registry.